Billing Specialist I

Northwest Cancer Centers is the most advanced oncology group in Northwest Indiana. Our physicians have over 50 years of combined experience and received their training at highly acclaimed academic institutions in Chicago.

We believe cancer is best treated with an integrative team approach, which is why we work with our holistic nurse practitioner, nutritionists, geneticists, radiation oncologists, surgeons, and your primary care physician to explore every avenue of treatment. We believe that knowledge is power, and for anybody with a new diagnosis of cancer, we promise to evaluate you within 24 hours.

We have an immediate opening for a Medical Billing Specialist I to join our team!

SCOPE:

The Medical Billing Specialist is primarily responsible for working with insurance companies, patients and medical billing staff to verify insurance eligibility and benefits prior to the patient being being seen. Identify if an insurance referral is requried and obtain as applicable.

To succeed in this role, you will need a strong insurance background with the ability to multi-task and are detail-oriented. You should have computer skills, excel experience, as well as strong communication and customer services skills.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 30 pounds. Requires manual dexterity sufficient to operate a keyboard, a calculator, telephone, copier and other such office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Collects and reviews all patient insurance information needed to complete the billing process.
• Verifies insurance eligibility and benefits utilizing various insurance portals, calling insurances and available resources.
• Must have strong comprehension of insurance priorities and a thorough understanding of Medicare and IN Medicaid managed care plans.
• Responsible for obtaining referrals from insurance carriers prior to services being rendered. Follow-up on expired referrals.
• Act as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
• Good organizational skills and the ability to multi-task.
• Superior judgement and decision-making skills.
• Effective communicator at all levels in the organization.
• Strong customer service skills.
• Maintain patient confidentiality.

MINIMUM QUALIFICATIONS:

High school graduate or equivalent. Position is entry level and requires 1-3 years experience in a medical business office setting.